Carolina Alves Costa Silva's research while affiliated with La Ligue contre le cancer and other places
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Publications (27)
Antibiotics (ABX) compromise the efficacy of programmed cell death protein 1 (PD-1) blockade in cancer patients, but the mechanisms underlying their immunosuppressive effects remain unknown. By inducing the down-regulation of mucosal addressin cell adhesion molecule 1 (MAdCAM-1) in the ileum, post-ABX gut recolonization by Enterocloster species dro...
3534
Background: Gut microbiome has emerged as a biomarker of clinical benefit to immune-checkpoint inhibitors (ICI) but no data are available in metastatic colorectal cancer (mCRC). The AtezoTRIBE study demonstrated that the addition of atezolizumab (atezo) to FOLFOXIRI plus bevacizumab (bev) prolongs progression-free survival (PFS), but this bene...
4548
Background: Antibiotics (ATB) deviate the gut taxonomic microbiota composition and have a deleterious impact on survival in ICI-treated pts. ATB downregulate the ileal mucosal addressin cell adhesion molecule-1 (MAdCAM-1), leading to the recirculation of immunosuppressive enterotropic T cells into the tumor and ICI resistance. Here, we aimed t...
103
Background: Accumulating evidence pointed to the impact of the intestinal microbiota on ICI outcomes across various cancers. Although specific gut microbial species have been associated with beneficial responses ( i.e. Akkermansia muciniphila (Akk)), no consensus exists on a gut fingerprint predicting immunoresistance to clinical routine use. M...
719
Background: The LIPI score has been reported as an independent prognostic factor in RCC patients treated with immune checkpoint inhibitors (ICI) or tyrosine kinase inhibitors (TKI). Here, we aimed to correlate LIPI score and GM composition in patients with RCC. Methods: We prospectively collected fecal samples of all comers RCC patients who sta...
Biomarkers guiding the neoadjuvant use of immune-checkpoint blockers (ICB) are needed for patients with localized muscle-invasive bladder cancers (MIBC). Profiling tumor and blood samples, we found that follicular helper CD4+ T cells (TFH) are among the best therapeutic targets of pembrolizumab correlating with progression-free survival. TFH were a...
Background:
Cabozantinib, a standard of care metastatic renal cell carcinoma (mRCC), may be associated with weight and muscle loss. These effects of new generation VEGFR tyrosine kinase inhibitor on muscle mass loss are poorly described.
Methods:
All cabozantinib-treated mRCC patients from January 2014 to February 2019 in our institution were in...
Microabstract
As proton pump inhibitors (PPI) were shown to impact the effectiveness of immune checkpoint inhibitors (ICI) in lung and bladder cancers, we sought to evaluate the effect of PPIs on the outcomes patients with metastatic renal cell carcinoma (mRCC) treated with ICI.
Introduction
Proton pump inhibitors (PPI) may influence the gut micro...
Background
Prostate cancer (PC) responds to androgen deprivation therapy (ADT) usually in a transient fashion, progressing from hormone-sensitive PC (HSPC) to castration-resistant PC (CRPC). We investigated a mouse model of PC as well as specimens from PC patients to unravel an unsuspected contribution of thymus-derived T lymphocytes and the intest...
535
Background: Immune checkpoint inhibitors (ICIs), such as anti-PD-1/PD-L1 antibodies, have emerged as a successful immunotherapeutic strategy for advanced and metastatic urothelial cancer (UC). Therapeutic blockade of PD-1 or PD-L1 with monoclonal antibodies leads to durable tumor regressions in up to 25% metastatic muscle invasive UC (MIBC). Ne...
320
Background: Immune checkpoint combination therapy (ICI-combo) is the new standard of care for mRCC in first-line setting. However, pts with poor PS (≥2) were excluded from pivotal trials. Hence, the activity and safety of ICI-combo in this group of pts is still unknown. Methods: We performed a multicentre retrospective study of PS≥2 mRCC pts wh...
Vaccination against coronavirus disease 2019 (COVID-19) relies on the in-depth understanding of protective immune responses to severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). We characterized the polarity and specificity of memory T cells directed against SARS-CoV-2 viral lysates and peptides to determine correlates with spontaneous,...
Aside from PD-L1 expression, biomarkers of response to immune checkpoint inhibitors (ICIs) in non-small-cell lung cancer (NSCLC) are needed. In a previous retrospective analysis, we documented that fecal Akkermansia muciniphila (Akk) was associated with clinical benefit of ICI in patients with NSCLC or kidney cancer. In the current study, we perfor...
Gut dysbiosis has been associated with intestinal and extraintestinal malignancies, but whether and how carcinogenesis drives compositional shifts of the microbiome to its own benefit remains an open conundrum. Here, we show that malignant processes can cause ileal mucosa atrophy, with villous microvascular constriction associated with dominance of...
Cancer patients are particularly susceptible to the development of severe Covid-19, prompting us to investigate the serum metabolome of 204 cancer patients enrolled in the ONCOVID trial. We previously described that the immunosuppressive tryptophan/kynurenine metabolite anthranilic acid correlates with poor prognosis in non-cancer patients. In canc...
Background
Cabozantinib, a potent multi-tyrosine kinases inhibitor (TKI), has demonstrated overall survival (OS) benefit over everolimus in patients previously treated with VEGFR TKI for metastatic Renal Cell Carcinoma (mRCC). The efficacy of systemic treatments after cabozantinib failure has not been investigated.
Methods
We conducted a retrospec...
Patients with cancer are at higher risk of severe coronavirus infectious disease 2019 (COVID-19), but the mechanisms underlying virus–host interactions during cancer therapies remain elusive. When comparing nasopharyngeal swabs from cancer and noncancer patients for RT-qPCR cycle thresholds measuring acute respiratory syndrome coronavirus-2 (SARS-C...
Optimal vaccination and immunotherapy against coronavirus disease COVID-19 relies on the in-depth comprehension of immune responses determining the individual susceptibility to be infected by SARS-CoV-2 and to develop severe disease. We characterized the polarity and specificity of circulating SARS-CoV-2-specific T cell responses against whole viru...
9019
Background: The gut microbiome, most specifically centered on one of the most prevalent anaerobic bacterium Akkermansia muciniphila (Akk), has emerged as a potential hallmark of clinical benefit to ICI. The goal of this study was to validate the prognostic significance of Akk in advanced NSCLC patients amenable to ICI. Methods: The multicentri...
Patients with cancer are at higher risk of severe coronavirus infectious disease 2019 (COVID-19), but the mechanisms underlying virus-host interactions during cancer therapies remain elusive. When comparing nasopharyngeal swabs from cancer and non-cancer patients for RT-qPCR cycle thresholds measuring acute respiratory syndrome coronavirus-2 (SARS-...
Introduction:
Cabozantinib is an oral tyrosine kinase inhibitor that is approved for the treatment of metastatic renal cell carcinoma (mRCC). Cabozantinib is a weak base that exhibits a pH-dependent solubility profile in vitro which raises concerns about its bioavailability in patients treated with proton pump inhibitors (PPI). The purpose of this...
Limited experimental evidence bridges nutrition and cancer immunosurveillance. Here, we show that ketogenic diet (KD) or its principal ketone body, 3-hydroxybutyrate (3HB), most specifically in an intermittent scheduling, induced T cell-dependent tumor growth retardation of aggressive tumor models. In conditions in which anti-PD-1, alone or in comb...
Background
IMDC criteria have been largely adopted in clinical practice. In a recent retrospective study, we assessed that the addition of the first site of metastatic disease to brain bone and liver improves prognostic stratification of patients with metastatic renal cell carcinoma (mRCC).
Aim
Here we performed an external validation in patients...
Background
The development of immune checkpoint blockade (ICB) has revolutionized the clinical outcome of renal cell carcinoma (RCC). Nevertheless, improvement of durability and prediction of responses remain unmet medical needs. While it has been recognized that antibiotics (ATBs) decrease the clinical activity of ICB across various malignancies,...
754
Background: IMDC criteria are largely adopted to estimate patient prognosis. In a retrospective study we assessed that the addition of first site of metastases in brain bone and liver (bbl) metastases as variable improves prognostic stratification of patients (pts) with metastatic renal cell carcinoma (mRCC). We performed a validation study in...
Immune checkpoint blockers (ICB) reinvigorate the immune system by removing the molecular brakes responsible for the scarce activity of immune phenotypes against malignant cells. After having proven their remarkable role as monotherapy, combinations of anti-Programmed cell death 1 (PD-1)/Programmed death-ligand 1 (PD-L1) agents with cytotoxic T-lym...
Citations
... Additionally, a recent study employed untargeted metabolomic analysis of the plasma of CM patients before treatment with anti-PD1 therapy and defined metabolic profiles associated with response to treatment [12]. Finally, multiple studies have explored the interaction between the microbiome, metabolomics, and the immune system [13,14]. Consequently, metabolites have emerged as potential biomarkers for treatment response, particularly in relation to immune checkpoint inhibitors (ICI). ...
... Although much emphasis has been placed on the central role of the intestinal microflora, which is the most diverse and quantitatively abundant microbiota, other microbial communities including those of the bladder and the skin may play an important role in determining anticancer immune responses as well 4,5 . In a fascinating paper that was recently published in Science, Chen et al. demonstrate that, in mice, Staphylococcus epidermidis can be genetically manipulated to express tumor antigens and then used to prevent or treat cancers expressing such antigens 6 . ...
... Here, male colorectal cancer patients with metastatic disease showed muscle loss of À8.3%/100 days [25], testicular cancer patients showed muscle loss up to À11.9%/100 days [20,21], and four new studies in neoadjuvant chemotherapy for esophageal/esophagogastric cancer, which has a high proportion of male individuals [16][17][18][19], showed relatively high intensity of muscle change (À7.2% to À9%/100 days). Muscle loss in the intermediate range were seen in a series of single reports, including Hodgkin's Lymphoma (À5.6%/ 100 days) [22], neoadjuvant chemotherapy for advanced ovarian cancer (6%/100 d) [15], curative intent chemoradiotherapy for head and neck cancer (À3.8%/100 days) [26] and targeted therapy cabozantinib in renal cell carcinoma (À4.6%/100 days) [27]. ...
... For instance, PCa patients receiving oral androgen receptor axis-targeted therapies showed a high abundance of Akkermansia muciniphila [8], which is associated with anti-PD-L1 immunotherapy [9]. Recent mouse experiments have demonstrated that ADT can reverse the reduction of Akkermansia muciniphila in PCa-bearing mice and oral administration of Akkermansia muciniphila, in turn, can enhance ADT efficacy and inhibit disease progression [10]. However, some studies have linked the gut microbiome to the side effects of ADT and hormone resistance. ...
... Early appearance of T cells reactive to peptide pools of the ancestral SARS-CoV2 strain correlates with a shorter duration of infection (5). Fahrner and colleagues reported a correlation between preexisting (before 2020) SARS-CoV-2-specific T-cell immune responses with a type 2 helper or cytotoxic (Th2/ Tc2) cytokine profile and susceptibility to infection with SARS-CoV-2 or reinfection by VOC (5). Moreover, although the breadth of the peptide recognition profile across the ORFeome did not correlate with infections during the first wave of the pandemic, a type 1 helper or cytotoxic (Th1/ Tc1) response selective for the S1-RBD region appeared to be essential for protection against BTI (5). ...
... Biomarkers represent a key component in the future of immuno-oncology; however, it is important to first find the most favorable markers because giving unnecessary immunotherapy could delay surgery and lead to cancer progression [29]. Some of these future markers could include radiomics [71,72], T-cell receptor repertoire and immunophenotype [73], intestinal microbiota [74], KEAP1, TP53 mutations [75] and mutational signature [76,77], to name a few. It is important to consider nonstandard biomarkers used in advanced cases of NSCLC that could be useful in the early setting as well; these include APOBEC, which has proven to predict the benefit of immunotherapy in NSCLC [78]. ...
... A recent report [82] showed that tumors impact gut motility by modulating betaadrenergic receptors. Varying the speed of passage likely changes the redox environment of the GI tract [83], suggesting that the redox state of redox-labile metabolites may change in breast cancer patients. ...
... Definitions of these terms are mentioned in "methods." TTF refers to the duration between the beginning of immunotherapy to drug discontinuation for any reason, including toxicity, disease progression, and even death (64). The TGR-dependent definition of HPD in eligible studies included "TGR post /TGR pre ≥ 2" or "TGR post /TGR pre ≥ 4," whereas certain studies define HPD as "(TGR post -TGR pre) / TGR pre ≥ 50%" or "> 40% increase in DTGR." ...
... The role of polyamine catabolism is involved in diverse cellular processes, including gene expression, protein synthesis, and oxidative stress regulation [44], as well as the genesis of disorders like cerebral ischemia and acute liver injury [45,46]. Recent studies have even highlighted increased levels of acetylpolyamine in the context of COVID-19 and trauma-related infections [47,48], further supporting the potential utility of polyamine catabolic products as non-invasive diagnostic markers. Moreover, the polyamine spermidine has been linked to enhanced mitochondrial respiratory function via eIF5A hypusination [49][50][51]. ...
... Three (50%) children had at least one underlying condition and none were immunocompromised. Although prolonged viral shedding is not rare among immunocompromised patients [34][35][36], viral shedding in the respiratory tract beyond 90 days in immunocompetent individuals is uncommon [37,38], suggesting that these cases represented true reinfections. ...